| Sivaraja Kuppuswami, MD | |
|
3815 Highland Ave, Good Samaritan Hospital, Downers Grove, IL 60515-1500 | |
| (630) 873-5436 | |
| Not Available |
| Full Name | Sivaraja Kuppuswami |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 3815 Highland Ave, Downers Grove, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780747600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Munson Medical Center | Traverse city, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
| Kalkaska Memorial Health Center | Kalkaska, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Grand Traverse Radiologists Pc | 6002866407 | 29 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Radiology Associates Of Appleton Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841229093 PECOS PAC ID: 6002851862 Enrollment ID: O20160421000773 |
| Entity Name | Grand Traverse Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760404891 PECOS PAC ID: 6002866407 Enrollment ID: O20241127003678 |
| Mailing Address | Practice Location Address |
|---|---|
| Sivaraja Kuppuswami, MD 520 E 22nd St, Lombard, IL 60148-6110 Ph: (630) 874-2542 | Sivaraja Kuppuswami, MD 3815 Highland Ave, Good Samaritan Hospital, Downers Grove, IL 60515-1500 Ph: (630) 873-5436 |
Dr. Jonathan Tresley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave Dept Of, Downers Grove, IL 60515 Phone: 630-581-6511 Fax: 630-645-6404 | |
Liza J. Lopez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Dr. Preeti K Parhar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-2300 | |
Howard K. O'neil, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Kurt R. Schultz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Geoffrey H. Chun, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Josie P. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Radiology Department, Downers Grove, IL 60515 Phone: 630-275-5900 |